| NPI | 1477101590 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704385962)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL APRN11002771)  | 
| Enumeration Date | 2019-09-02 | 
| Last Update Date | 2024-04-25 |